The iris fluttering after eye movements was quantified by anterior segment optical coherence tomography (AS-OCT) in 29 eyes that had undergone pars plana vitrectomy (PPV) and intrascleral fixation of an intraocular lens (IOL, ISF group) and 15 eyes with PPV and an IOL implantation into lens capsule (control group). The iris fluttering was recorded every 0.2 seconds by AS-OCT after the eye had moved from a temporal to the primary position (time 0). The iris height from the iris plane (line between the anterior chamber angles) were compared between the groups. The height of the nasal sector in the ISF group decreased to -0.68 ± 0.43 mm at 0 sec (P < 0.0001) and returned to -0.06 ± 0.23 mm at 0.2 sec (P = 0.14). The height of the nasal sector at 0 sec was significantly lower than that of control (-0.05 ± 0.09 mm, P < 0.0001). The height of the temporal sector increased to 0.45 ± 0.31 mm at 0 sec (P < 0.0001) and returned to -0.06 ± 0.18 mm at 0.2 sec (P = 0.15). The height of the temporal sector at 0 sec was significantly higher than that of the control (0.03 ± 0.06 mm, P < 0.0001). Large amplitude iris fluttering leading to reverse pupillary block can be detected and quantified by consecutive AS-OCT images.